Maternal Newborn Exam Questions

What is one of the immunizations given shortly after birth? A. Vitamin K B. Pneumonia vaccine C. HPV vaccine

A. Vitamin K

How many mL of blood would you expect after a mother delivers via C-section? A. 500 mL B. 2000 mL C. 1000 mL D. 1500 mL

C. 1000 mL

Which type of laceration goes through the skin, muscle, perineum and anal sphincter muscle? A. 1st degree B. 2nd degree C. 3rd degree D. 4th degree

C. 3rd degree

A Labor and Delivery nurse is caring for a client in labor and has applied an external fetal monitor and tocotransducer. The FHR is around 140/min. Contractions are occurring every 8 min and lasting 30-40 secs. The nurse performs a vaginal exam and finds the cervix is dilated to 2 cm, 50% effaced, and the fetus is at -2 station. Which stage and phase of labor is this client experiencing? A. First stage, active phase B. Fourth stage of labor C. Second stage of labor D. First stage, latent phase

D. First stage, latent phase

A nurse is planning care for a client who is at 35 weeks of gestation. Which of the following laboratory tests should the nurse obtain? A. Rubella titer B. Blood type C. 1-hour glucose tolerance test D. Group B streptococcus B-hemolytic

D. Group B streptococcus B-hemolytic

In planning postpartum nursing care for a patient with cardiac disease, the nurse would question which of the following physician orders: A. Vitals Q 2 hours B. Strict monitor of I&O C. High fiber diet D. High fluid intake

D. High fluid intake

Which is not a danger sign in the second and third trimester of pregnancy? A. Decreased fetal movement B. Severe headaches C. Abdominal pain D. Increased urination

D. Increased urination

A nurse is reviewing care of the umbilical cord with the parent of a newborn. Which of the following instructions should the nurse include in the teaching? A. Cover the cord with a small gauze square. B. Trickle clean water over the cord with each diaper change. C. Apply hydrogen peroxide to the cord twice a day. D. Keep the diaper folded below the cord.

D. Keep the diaper folded below the cord.

A nurse is caring for a client who is experiencing prolonged labor. Which of the following fetal monitoring results indicates fetal compromise? A. Baseline fetal heart rate of 110 to 130 per minute B. Moderate baseline variability C. Accelerations in response to fetal stimulation D. Late decelerations with fetal bradycardia

D. Late decelerations with fetal bradycardia

What is an example of a presumptive sign of pregnancy? A. Positive pregnancy test B. Abdominal enlargement C. Hegar's sign D. Nausea and vomiting

D. Nausea and vomiting

A nurse is caring for a client who is using patterened breathing during labor. The client reports numbness and tingling of the fingers. Which of the following actions should the nurse take? A. Administer oxygen via nasal cannula at 2L/min. B. Apply a warm blanket. C. Assist the client to a side-lying position. D. Place an oxygen mask over the client's nose and mouth.

D. Place an oxygen mask over the client's nose and mouth

What condition would be indicated if the fetal heart strip showed a late deceleration? A. nothing is wrong B. cord compression C. head compression D. placental insufficiency

D. Placental insufficiency

A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of the following should the nurse report to the provider? A. Report of insomnia: an expected finding B. BP of 136/88: Within the reference range for a pt at 38 wks C. Report of Braxton-Hicks contractions: an expected finding D. Weight gain of 2.2 kg (4.8 lb)

D. Weight gain of 2.2 kg (4.8 lb)

A postpartum nurse is providing instructions to the mother of a newborn infant with hyperbilirubinemia who is being breastfed. The nurse provides which most appropriate instructions to the mother? A. switch to bottle feeding for the B. stop the breast feeding and switch to bottle-feeding permanently C. feed the newborn less frequently D. continue to breastfeed every 2-4 hours

D. continue to breastfeed every 2-4 hours

The postpartum nurse teaches a mother how to give a bath to the newborn infant and observes the mother performing the procedure. Which observation indicates a lack of understanding of the instructions? A. The mother bathes the newborn infant after a feeding. B. The mother states that she should gather all supplies before the bath is started. C. The mother states that she should never leave the newborn infant in the tub of water alone.4. The mother fills a clean basin or sink with 2 to 3 inches (5 to 7.5cm) of water and then checks the temperature with her wrist.

A. The mother bathes the newborn infant after feeding

A nurse working in Labor and Delivery is ordered to give Misoprostol 25mg to a woman to induce labor. Provided are 100 mg tabs. How many tabs are given?

A: 0.25 tabs

A nurse is called to the birthing room to assist with the assessment of a newborn who was born at 32 weeks of gestation. The newborn's birth weight is 1,100 g. Which of the following are expected findings in the newborn? (Select all that apply.) A. Lanugo B. Long nails C. Weak grasp reflex D. Translucent skin E. Plump face

A. Lanugo C. Weak grasp reflex D. Translucent skin

A female patient took a pregnancy test. These are interpreted as what kind of chances of pregnancy. A. Presumptive B. Probable C. Positive D. Possible

A. Presumptive

Matching (Drop down box) Please match the type of fetal heart rate acceleration/decelerations to the likely cause: A. Accelerations B. Early Decelerations C. Late Decelerations D. Variable Decelerations

A. Reassuring B. Fetal head compression C. Placental insufficiency D. Cord compression

A pregnant client tells the clinic nurse that she wants to know the sex of her baby as soon as it can be determined. The nurse informs the client that she should be able to find out the sex at 12 weeks' gestation because of which factor? A. The appearance of the fetal external genitalia B. The beginning of differentiation in the fetal groin C. The fetal testes are descended into the scrotal sac D. The internal differences in male and females become apparent

A. The appearance of the fetal external genitalia

The nurse is performing an assessment of a pregnant client who is at 28 weeks of gestation. The nurse measures the fundal height in centimeters and notes that the fundal height is 30 cm. How should the nurse interpret this finding? A. The client is measuring large for gestational age. B. The client is measuring small for gestational age. C. The client is measuring normal gestational age. D. More evidence is needed to determine size for gestational age.

A. The client is measuring large for gestational age

The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. Which sign, if noted, would be an early sign of excessive blood loss? A. A temperature of 100.4°F (38°C) B. An increase in the pulse rate from 88 to 103 bpm C. A blood pressure change from D. An increase in the respiratory rate from 18 to 22 breaths/minute

B. An increase in the pulse rate from 88 to 103

A postpartum patient is experiencing urinary retention. The nurse would expect the physician to order which drug to stimulate bladder contractions? A. Scopolamine B. Bethanechol C. Atropine D. Bentropine

B. Bethanechol

During a prenatal assessment, the FHR is 150 bpm. What actions should be taken? A. Perform a non-stress test B. Continue to monitor C. Prepare for an amniocentesis D. Perform an Ultrasound

B. Continue to monitor

While assessing a 2-hour old neonate, the nurse observes the neonate to have acrocyanosis. Which of the following nursing actions should be performed initially? A. Activate the code blue or emergency system B. Do nothing because acrocyanosis is normal in the neonate C. Immediately take the newborn's temperature according to hospital policy D. Notify the physician of the need for a cardiac consult

B. Do nothing because acrocyanosis is normal in the neonate

The healthcare provider is assessing a pregnant woman during her first prenatal visit. The patient reports she has a 5-year-old at home who was delivered at 39 weeks gestation. Her last pregnancy ended at 12 weeks gestation due to a spontaneous abortion. She delivered a set of twins at 22 weeks gestation. The twins died within 12 hours of birth. How will the healthcare provider document this patient's obstetrical history using the GTPAL system? A. G4 T1 P1 A1 L1 B. G4 T1 P2 A1 L1 C. G5 T2 P1 A0 L3 D. G3 T2 P2 A0 L2

B. G4 T1 P2 A1 L1

A woman is admitted to the hospital in labor that has had a miscarriage at 10 weeks gestation five years ago. She has a three year old who was born at 39 weeks, and a five year old born at 40 weeks. What is her GTPAL? A. G=3 T=2 P=0, A=1, L=2 B. G=4 T=2 P=0, A=1, L=2 C. G=4 T=1 P=1, A=1, L=2 D. G=3 T=2 P=0, A=1, L=3

B. G=4 T=2 P=0, A=1, L=2

A nurse is caring for a client who is in preterm labor and is scheduled to undergo an amniocentesis. The nurse should evaluate which of the following tests to assess lung maturity? A. Alpha-fetoprotein B. Lecithin/sphingomyelin ratio C. Kleihauer-Betke test D. Indirect Coomb's test

B. Lecithin/sphingomyelin ratio

A client is receiving mag sulfate to help stop preterm labor. What signs of magnesium toxicity should the nurse watch for? A. Headache, blurred vision, tachycardia, oliguria B. Loss of deep tendon reflexes, lethargy, paralysis, respiratory depression, blurred vision C. Palpitations, edematous lower extremities, pruritus D. Dyspepsia, malaise, tachypnea, erythema on extremities, fever

B. Loss of deep tendon reflexes, lethargy, paralysis, respiratory depression, blurred vision

When planning care for a postpartum client who plans to breast-feed her infant, which important piece of information should the nurse include in the teaching plan to prevent the development of mastitis? A. Offer only one breast at each feeding. B. Massage distended areas as the infant nurses. C. Express and discard milk from the affected breast at the first signs of mastitis. D. Cleanse the nipples with a mild antibacterial soap before and after infant feedings.

B. Massage distended areas as the infant nurses

What type of test is done to verify rupture of membranes? A. NST B. Nitrazine paper test C. Routine Urinalysis D. Glucola Screening test.

B. Nitrazine paper test

Which infection is not included in TORCH? A. Toxoplasmosis B. Orchitis C. Rubella D. Cytomegalovirus E. Herpes

B. Orchitis

Which additional daily dietary intake will most closely match the number of additional calories needed by the breast-feeding mother? A. Apple and orange B. Peanut butter and jelly sandwich and glass of 2% milk C. Hamburger with bun, french fries, and glass of skim milk D. 4-ounce grilled chicken breast, sweet potato, and 16-ounce milkshake

B. Peanut butter and jelly sandwich and glass of 2% milk

A primigravida client is experiencing Braxton-Hicks contractions. What statement is true concerning these contractions? A. They are intensified by walking around B. They do not increase in intensity or frequency C. They are confined to the low back D. They result in cervical effacement

B. They do not increase in intensity or frequency

In what phase of the first stage of labor might a mother become frantic, stating "I can't do this anymore, please help!" A. Active B. Transition C. Latent D. Passive

B. Transition

The nurse is assessing a pregnant client in the second trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruptio placentae. Which assessment finding should the nurse expect to note if this condition is present? A. soft abdomen B. uterine tenderness C. absence of abdominal pain D. painless, bright red vaginal bleeding

B. Uterine tenderness

A pregnant client asks the nurse when she will be able to start feeling fetal activity. What is the nurse's best response? A. You should start feeling fetal activity between 8 to 12 weeks. B. You should start feeling fetal activity between 16 to 20 weeks. C. You will feel fetal activity during labor. D. You should start feeling fetal activity in the third semester.

B. You should start feeling fetal activity between 16 to 20 weeks.

A newborn is newly admitted to the nursery. A nursing assessment finds all of the following findings. Which of these are abnormal? (Select all that apply) A. acrocyanosis B. visible jaundice C. respiratory Rate of 47 breaths per minute D. heart rate of 93 bpm E. anteroposterior lateral ratio of 1:1

B. visible jaundice D. Heart rate of 93 bpm

Which is NOT a postpartum danger sign A. Fever above 100.4 degrees Fahrenheit B. Severe headaches and/or blurred vision C. Mild uterine contractions D. Saturating a peripad in one hour

C. Mild uterine contractions

The nurse is performing an assessment on a client who is at 38 weeks' gestation and notes that the fetal heart rate (FHR) is 174 beats/minute. On the basis of this finding, what is the priority nursing action? A. Document the finding. B. Check the mother's heart rate. C. Notify the health care provider. D. Tell the client that the fetal heart rate is normal.

C. Notify the health care provider.

What discharge instruction should be given to a patient with cervical insufficiency? A. Discourage hydration B. Encourage intercourse C. Place the client on activity restriction D. Take medications with milk

C. Place the client on activity restriction

The nurse prepares to administer a phytonadione (vitamin K) injection to a newborn, and the mother asks the nurse why her infant needs the injection. What best response A. "Your newborn needs the medicine to develop immunity." B. "The medicine will protect your newborn from being jaundiced." C. "Newborns have sterile bowels, and the medicine promotes the growth of bacteria in the bowel." D. "Newborns are deficient in vitamin K, and this injection prevents your newborn from bleeding."

D. "Newborns are deficient in vitamin K, and this injection prevents your newborn from bleeding."

A clinically labeled infertile woman is considered to be in which category? A. A woman who practices sexual abstinence. B. A woman who has had a hysterectomy. C. A woman who refused to eat chicken eggs. D. A woman who can't conceive despite having unprotected sex for a time of at least 12 months.

D. A woman who can't conceive despite having unprotected sex for a time of at least 12 months.

What is important to include in the discharge teaching plan for a 38 year old client who has had a vaginal hysterectomy? A. Use of birth control is no longer required B. Refrain from sexual intercourse for 2 months C. Take hormone replacement therapy D. Anticipate vaginal bleeding

D. Anticipate vaginal bleeding

A client is 37 weeks gestation and is admitted to the hospital with bright red vaginal bleeding, complaining of abdominal discomfort, but is not having any contractions. After you assess the client's vital signs and see that the FHR is 105 what is the most A. The amount of cervical dilation present B. The exact location of her abdominal pain C. The station of the presenting part of the fetus D. At what time the client last ate

D. At what time the client last ate

A client reports that her last menstrual period was November 10. She asks the nurse "When will my baby be due?" What is the best answer? A. July 3rd B. August 30th C. Around the middle of September D. August 17th

D. August 17th

A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. Which of the following actions should the nurse include in the plan of care? A. Monitor fetal heart rate every hour B. Keep four side rails up while the client is in bed C. Insert an indwelling urinary catheter D. Check the cervix prior to analgesic administration

D. Check the cervix prior to analgesic administration

Which of the following patient conditions would require the nurse to discontinue the infusion of oxytocin during labor? A. Blood pressure of 137/88 B. Soft abdomen between contractions C. Early decelerations detected D. Contraction frequency every 90 seconds with a duration of 80 seconds

D. Contraction frequency every 90 seconds with a duration of 80 seconds

A pregnant patient reports bright red painless bleeding. What is suspected? A. Placenta Abruption B. Placenta Previa C. Ruptured Ectopic Pregnancy D. Gestational trophoblastic disease

B. Placenta Previa

If a baby is vertex what part of the baby is presenting? A. The shoulder B. The head C. The buttocks D. The feet

B. The head

What is a normal range for fetal heart rate? A. 100-150 bpm B. 110-160 bpm C. 90-150 bpm

B. 110-160 bpm

A nurse is providing discharge instructions to a postpartum client following a cesarean birth. The client reports leaking urine every time she sneezes or coughs. Which of the following interventions should the nurse suggest? A. Sit-ups B. Pelvic tilt exercises C. Kegel exercises D. Abdominal crunches

C. Kegel exercises

The nurse is monitoring a client in preterm labor who is receiving intravenous magnesium sulfate. The nurse should monitor for which adverse effects of this medication? Select all that apply. A. Flushing B. Hypertension C. Increased urinary output D. Depressed respirations E. Extreme muscle weakness F. Hyperactive deep tendon reflexes

A. Flushing D. Depressed respirations E. Extreme muscle weakness

The primary critical observation for Apgar scoring is the: A. heart rate B. respiratory rate C. presence of meconium D. evaluation of Moro reflex

A. Heart rate

The nurse is preparing to teach a prenatal class about fetal circulation. Which statements should be included in the teaching plan? Select all that apply. A. "The ductus arteriosus allows blood to bypass the fetal lungs." B. "One vein carries oxygenated blood from the placenta to the fetus." C. "The normal fetal heart tone range is 140 to 160 beats per minute in early pregnancy." D. "Two arteries carry deoxygenated blood and waste products away from the fetus to the placenta." E. "Two veins carry blood that is high in carbon dioxide and other waste products away from the fetus to the placenta."

A. "The ductus arteriosus allows blood to bypass the fetal lungs." B. "One vein carries oxygenated blood from the placenta to the fetus." D. "Two arteries carry deoxygenated blood and waste products away from the fetus to the placenta."

A nurse is providing discharge teaching for a nonlactating client. Which of the following instructions should the nurse include in the teaching? A. "Wear a supportive bra continuously for the first 72 hours." B. "Pump your breast every 4 hours to relieve discomfort." C. "Use breast shells throughout the day to decrease milk supply." D. "Apply warm compresses until milk suppression occurs."

A. "Wear a supportive bra continuously for the first 72 hours."

An average weight gain for a woman who has a single pregnancy who is overweight is expected to be: A. 15-25 lbs. B. 1.5 lbs/week C. 28-40 lbs. D. 2 lbs/week

A. 15-25 lbs.

A nurse is caring for a client who is 1 hr postpartum following a vaginal birth and experience uncontrollable shaking. The nurse should understand that the shaking is due to which of the following factors? (select all that apply) A. A change in body fluids B. Metabolic effort of labor C. Diaphoresis D. Decrease in body temperature E. Decrease in prolactin levels

A. A change in the body fluids B. Metabolic effort of labor

The nurse in the labor room is caring for a client in the active stage of the first phase of labor. The nurse is assessing the fetal patterns and notes a late deceleration on the monitor strip. What is the most appropriate nursing action? A. Administer oxygen via face mask. B. Place the mother in a supine position. C. Increase the rate of the oxytocin intravenous infusion. D. Document the findings and continue to monitor the fetal patterns.

A. Administer oxygen via face mask.

1. A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the following situations should the nurse administer Immune Globulin? A. At 28 weeks of gestation B. Prior to a blood transfusion C. Following an episode of influenza during pregnancy D. While the client is in labor

A. At 28 weeks of gestation

Which medications are used to manage postpartum hemorrhage? (Select all that apply) A. Carboprost B. Methylergonovine C. Misoprostol D. Oxytocin E. Terbutaline

A. Carboprost B. Methylergonovine C. Misoprostol D. Oxytocin

During a vaginal assessment on a patient who is 8 weeks pregnant, you note a bluish coloration of the mucous membrane of the cervix, vagina, and vulva. You would document this finding as what? A. Chadwick's sign B. Goodell's sign C. Ballottment D. Hegar's sign

A. Chadwick's sign

What method of contraception offers protections against STIs? A. Condoms B. Intrauterine device C. Combined oral contraceptives D. Bilateral tubal ligation

A. Condoms

What does a rapid decrease in fetal heart rate usually mean? A. Cord compression B. Head Compression C. Placental Insufficiency

A. Cord compression

A nurse is teaching a client in her first trimester of pregnancy about recommended foods for increasing calcium absorption. Which of the following foods would the nurse recommend? A. Eggs B. Donuts C. Spinach D. Mayonnaise

A. Eggs

A primigravida who is at 38 weeks gestation calls the clinic stating she felt several contractions in her abdomen during the past hour. She reports that the contractions were irregular and they decreased after she took a walk around the block. Based on this information, what is the healthcare provider's best response? A. "Come to the hospital when your contractions are regular and 1 minute apart." B. "Come to the hospital when your contractions are regular and 5 minutes apart." C. "You should wait 1 to 2 hours and then come back to the hospital." D. "Birth is imminent so you should come to the hospital immediately."

B. "Come to the hospital when your contractions are regular and 5 minutes apart."

A pregnant woman in her third trimester comes to the clinic and says, "I am a back sleeper, but why is it so uncomfortable when I sleep on my back?" What statement by the nurse is most appropriate? A. "Sleeping on your back is discouraged when you're pregnant." B. "The baby is most likely resting on your major blood vessels, and this may cause you to feel uncomfortable. Sleeping on your left side is recommended." C. "I used to use extra pillows when I was in my third trimester to sleep better." D. "Please tell me how this makes you feel?"

B. "The baby is most likely resting on your major blood vessels, and this may cause you to feel uncomfortable. Sleeping on your left side is recommended."

The nurse should make which statement to a pregnant client found to have a gynecoid pelvis? A. "Your type of pelvis has a narrow pubic arch." B. "Your type of pelvis is the most favorable for labor and birth." C. "Your type of pelvis is a wide pelvis, but it has a short diameter." D. "You will need a cesarean section because this type of pelvis is not favorable for a vaginal delivery."

B. "Your type of pelvis is the most favorable for labor and birth."

When can intrauterine fetal demise occur? A. before 20 weeks B. 20 weeks - delivery C. after delivery D. between 10-15 weeks

B. 20 weeks - delivery

What Apgar score would you assign to a newborn at 1 minute if they present being active, pulse of 120, reflex is floppy, appearance is pink, and has an irregular cry. A. 5 B. 8 C. 3 D. 11

B. 8

The nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn on admission to the nursery. The nurse suspects fetal alcohol syndrome and is aware that which additional sign would be consistent with this syndrome? A. Length of 19 inches B. Abnormal palmar creases C. Birth weight of 6 lb, 14 oz D. Head circumference appropriate for gestational age

B. Abnormal palmar creases

A nurse is providing teaching to a parent whose newborn has just had a circumcision. Which of the following instructions should the nurse include? A. Inspect the circumcision site every 6-8 hour B. Remove yellow exudate daily using a warm, wet washcloth C. Apply slight pressure with a sterile gauze pad for bleeding D. Use baby wipes containing alcohol to cleanse the penis with each diaper change

C. Apply slight pressure with a sterile gauze pad for bleeding

A patient has come in grossly ruptured, when you apply her fluid to a nitrazine strip it will turn... A. Orange B. Light yellow C. Blue D. Deep Brown

C. Blue

A 40-year-old patient who is 36 weeks pregnant presents with complaints of vaginal bleeding and lack of fetal movement over the last 3 days. What is the priority action by the nurse? A. X-ray the abdomen B. Ultrasound examination C. Check for fetal heart tones D. Palpate for fetal movement

C. Check for fetal heart tones

The nurse assisted with the delivery of a newborn. Which nursing action is most effective in preventing heat loss by evaporation? A. Warming the crib pad B. Closing the doors to the room C. Drying the infant with a warm blanket D. Turning on the overhead radiant warmer.

C. Drying the infant with a warm blanket

Which assessment following an amniotomy should be conducted first? A. Cervical dilation B. Bladder distention C. Fetal heart rate pattern D. Maternal blood pressure

C. Fetal heart rate pattern

Your patient complains that she is bleeding heavily. Upon assessment of lochia, you see the pad she changed almost 2 hours ago is now saturated. This would be classified as A. Light B. Moderate C. Heavy D. Excessive

C. Heavy

A woman presents to the clinic because she missed her last menstrual period and thinks she may be pregnant. She reports fatigue, breast tenderness, urinary frequency, and nausea and vomiting in the morning. The healthcare provider will interpret these findings as which of the following changes of pregnancy? A. Positive B. Probable C. Presumptive D. Presented

C. Presumptive

A nurse is assessing new parents feeding their newborn. Which of the following assessments requires more education? A. Parents are holding the newborn in a semi-upright position B. The bottle is tilted enough that no air is coming through the nipple C. The father is allowing the bottle to prop on the blanket D. The newborn is given opportunities to burp during feeding

C. The father is allowing the bottle to prop on the blanket

Which Leopold Maneuver is used to determine the presenting part of the fetus? A. first maneuver B. second maneuver C. third maneuver D. fourth maneuver

C. Third maneuver

Vitamin K is prescribed for a neonate. A nurse prepares to administer the medication in which muscle site? A. Deltoid B. Triceps C. Vastus lateralis D. Biceps

C. Vastus lateralis

The nurse is helping the pregnant woman know what food sources she should include in her diet that are rich in folic acid. Which of the following would provide the most folic acid? A. Shellfish, sweet potatoes, rolls B. Cottage cheese, yogurt, milk C. lightly cooked beans and peas, nuts and seeds, dark green, leafy vegetables D. carrots, raisins, chocolate

C. lightly cooked beans and peas, nuts and seeds, dark green, leafy vegetables

The nurse is providing instruction regarding treatment of hemorrhoids to a client who is in the second trimester of pregnancy. Which statement by the client indicates a need for further instruction? A. "I should avoid straining during bowel movements." B. "I can gently replace the hemorrhoids into the rectum." C. "I can apply ice packs to the hemorrhoids to reduce the swelling." D. "I should apply heat pack to the hemorrhoids to help the hemorrhoids shrink"

D. "I should apply heat pack to the hemorrhoids to help the hemorrhoids shrink"

A nurse is teaching a client who has type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? A. "I should engage in moderate exercise for 30 minutes if my blood glucose is 250 or greater." B. "I should have a goal of maintaining my fasting blood glucose between 100 and 200." C. "I will ensure that my bedtime snack is high in refined sugar." D. "I will continue taking my insulin if I experience nausea and vomiting."

D. "I will continue taking my insulin if I experience nausea and vomiting."

Your patient is 2 hours post labor, and continues to bleed. Upon assessment, you discover the fundus is boggy, and will not firm up with massage. Which medication would you expect to not give the patient at this time? A. Oxytocin B. Methylergonovine C. Misoprostol D. Carboprost tromethamine E. Heparin

E. Heparin

What is a sign of troubled breathing in a newborn? A. Nasal flaring B. Chest retractions C. Generalized cyanosis D. Abnormal breath sounds E. Grunting on exhalation F. All of the above

F. All of the above